Lump Near Nipple Area and Discomfort in Left Breast (5 Years Post-op)

I had a bilateral lift with silicone mentor implants in 2005(under the muscle).I've had no complaints,until a couple of months ago I've started to notice a dull,sometimes sharp pain in my left breast.I thought it was due to doing too many reps/weights at the gym? However,3 days ago I noticed a lump in my left breast near my nipple area.It's smooth and moveable. I also notice some discomfort when laying down and bending over with my implants. Gp Thinks Its a Cyst or Fibroid??

Doctor Answers 7

Breast Lump Evaluation

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Several conditions can cause benign lumps of the breasts in the post-operative period. These include seromas, hematomas, cysts, fat necrosis, lymph nodes and benign tumors. Unfortunately, breast lumps may also be occasionally associated with malignancy.

For these reasons, they should always be investigated not only with a physical examination, but in some cases with imaging studies. In some cases, procedures such as aspiration and breast biopsy are indicated as well. In the vast majority of patients, these lesions are found to be benign and no additional treatment is indicated.

Breast lump

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I would definitely recommend a biopsy even though the mammograms and other tests and opinions are that it may be benign. I sually perform breast biopsies for lumps on patients that have had breast implants. Better to be safe.

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.5 out of 5 stars 28 reviews

New lump in breast - Do not ignore

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Any new lump in a breast, particularly if it is symptomatic (ie painful), should be investigated via mammography and/or ultrasound. The obvious concern is for a possible breast cancer. With breast cancer incidence at 1 in 8 women, these findings in the breast should be evaluated by imaging and a breast surgeon. It is possible to have lumps from benign processes, however cancer should be ruled out first and foremost.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 26 reviews

Lump post aug

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The fact that this is smooth and freely move able indicates it probably is a benign process.I assume your mammos have been negative.It is something you can watch to see if it grows.It would be very easy to remove as an outpatient under local.

Robert Brueck, MD
Fort Myers Plastic Surgeon
4.9 out of 5 stars 69 reviews

New Lump after Breast Augmentation

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This lump in your breast is a new finding and needs investing.  The first step is a mammogram.  There may be a need for an ultrasound.  If surgery is warranted for the lump then a general surgeon should perform the biopsy. 

Dr. ES

New painful mass of breast

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In all likelihood it is a cyst or fibroid. A mammogram and/or high resolution ultrasound would better answer this question. An aspiration and or biopsy may be advised under the recommendation of a surgeon.Generally speaking a painful mass is less concerning than a painless mass.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

All Breast Lumps Should Be Investigated

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Although I am unfamiliar with the Canadian health care system, I feel that you should have at least an ultrasound study performed.  This should be helpful in determining whether the mass is solid or cystic and also whether or not there is a connection with your implant.  If that study is equivocal, then you may need a mammagram or exploration.  You should involve your plastic surgeon sooner rather than later.

John Whitt, MD (retired)
Louisville Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.